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STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER~~~' S C
ADDRESS 2 •
p MtYt w 1 a Z
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SUBDIVISION / CSM# CS M 11d L g CS 114 L-LOT #
SECTION T N-R W, Town of
ag t~j aA50
ST. CROIX COUNTY, WISC1 1ftSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
w6 Y~rt
11 tl~
RECE, EO
cur) 5 - 1 1y~3 U-j is~)
Go 01 is , w
t'Ot~ 7 Y
a j j t ~1
IWO)
54- t qd
0
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form. y'~ IP
Lit
Provide 2 dimensions to center of septic tank manhole cover.
~z
1
e
BENCHMARK: S~I/(Lr- ~D A90 v6- 61eZo ct/,O IV 45 0I4, 7&6-6: C7
ALTERNATE BM: z P D + cogly~f=
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: Liquid Capacity: l C ~D
Setback from: Well House Other
Pump: Manufacturer Model# 6L)(4V--5Size
c~
Float seperation Gallons/cycle:
Alarm Location
SOIL ABSORPTION SYSTEM /
Width: Length Number of trenches /
Distance & Direction to nearest prop. line: 7 Z O r
Setback from: well: House 5S~ /Other
ELEVATIONS
~ I
Building Sewer ST Inlet: ST outlet
PC inlet PC bottom Pump Off
Header/Manifold / l~ Ob Bottom of system
Existing Grade Final grade
i
t
DATE OF INSTALLATION:
PLUMBER ON JOB:
j
LICENSE NUMBER:
INSPECTOR:
3/93:jt
N
LOCATION: TOWN OF TROY 21.28.19.334A50 SW Lot 4 To
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM ounty:
Labor and Human Relations INSPECTION REPORT
Safety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION
Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.:
LAPERRY, JAMES Troy ~
CST BM Elev.: Insp. BM Elev.: BM Description: Pa cel Tax No.:
TANK INFORMATION ELEVATION DATA A9300121
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic ,gyp f ~L - t,. Benchmark p 6,6 1D0
Dosing fit . t, 97a) p(, 91.
Aeration Bldg. Sewer
Holding St/Ht Inlet 0 '7 D. a
TANK SETBACK INFORMATION St/ Ht Outlet
Ventto
TANK TO P/ L WELL BLDG. Ai Intake ROAD Dt Inlet
X)w Septic NA Dt Bottom Septic V
Dosing 31e > NA Header/ Man. J , S
Aeration NA Dist. Pipe
Holding Bot. System 4ov
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand ~7, 03
lgGPM -7 r, q-7
Model Number
ir
vx~ //1-137
TDH Lift ~%1 Friction `2 ~ System, ~L) TDH I,,bgFt
Forcemain Length/00 I Dia.a/1 Dist. Toweu
SOIL ABSORPTION SYSTEM
BED/TRENCH Width , Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS / DIMENSIONS
SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
SETBACK CHAMBER
INFORMATION Type O / Moe Number:
System: h z~scv~ 23 >l00 A f 1~ OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Length JO' Dia. ~ I i SpacingT ~IYq 11 I 7 S O
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of TSeeded / Seeded' xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ❑ No Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: TOWN OF TROY 21.28.19.334A50, SW SE, Lc* 4 TownsValley Road
40
R
`'1a'ni rtiisrnY~gErire? ❑ Yes No
Use other side for additional information.
SBD-6710 (R 05/91) --ral ate Inspector's Signature Cert. N
H
l
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
r t
i
y
e
D~LHR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code COUNTY
01
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than ❑ 3q 6
8% x 11 inches in size. C if revision to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUM ER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
.a!ffmes LA to /Z a ,S Z T ,N,R E(o
PROPERTY OWNER' MAILING ADDRESS LOT # BLOCK #
CITY, STATE ZIPCODE PHONE NUM ER SUBDIVISI NNAME ORCSM NUMB
LS 61 r Paz- -p6 /
II. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD
I~1 ❑ State Owned VILLAGE : wN.s. ~
L
I% =N Q~:z e
❑ Public Yk-or 2 Fam. Dwelling-# of bedrooms PARCEL TAX NUMBER(U)
Ill. BUILDING USE: (If building type is public, check all that apply) D J~ f O 8
1 ❑ Apt/Condo V U
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 80 Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. R.New 2. ❑ Replacement 3. ❑ Replacement of 4.E] Reconnection of 511 Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 M Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. T FINAL GRADE
(0 C 5-a-D 5-051 1 3 /3~, REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ~l ELEVATION
VFeet Feet
TO 4
VII. TANK CAPACITY Site
in allons Total # of Prefab. Fiber- Exper.
INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holdin Tank 2cro dTJ cf
Lift Pump Tank/Si hon Chamber GO 1
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumb is Name (Print): Plumber's Sign ure: (No Stamps) 7P/MPRM No.: Business Phone Number:
tcrSad
Plu 's Address (Street, City, State, Zip Code):
IX. COUNTY/DEPARTMENT USE ONLY
Date issued Issu'ng Agent Sig lure (No Stamps)
Disapproved Sanii ry Permit Fee (Includes Surcharge Fee)
Groundwater 14
~ ~ rl~ `
A Approved ❑ Owner Given Initial ~a
Adverse Determination ~ ~~2
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R.11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the times of renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All revisions to This permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Saritary Permit Transfer/Renewal Form (S''D 6399) to be
submitted to the county priar to installation.
5. Onsite sewage systems matt be properly maintained. The septic tank(s) must be pumped by a licensed
pumper whenever necessary, usually every 2 to 19 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin, Safety & Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in ##1-7.
VII. Tank information. Fill in the capacity of every new send/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic,, purnp/siphon and holding tanks for this system. Check experimental approval only it tanks received
experimental product approval from DILHR.
Vlll. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches must be subm tied '.o tie county. The
plans must include the following: A) plot plan, drawn to scale or with complete dirneris;'ons location of
holding tank(s), septic tank(s) or other treatment tanks; buii_tir:g sewers; wells; water main~,lwater service;
strearns and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system
areas; and the location of the building served; B) horizontai and vertical elevation referenca poirt:s;
C) complete specifications for pumps and controls; dose VOIUrne; elevation differences; fric-ion loss; pump
performance curve; pump model and pump manufacturer, D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 isc)n sin Act 419 included the creation of surcharges (fees) for a numb:-,r of
regulated practices, which can effect groundwate=r.
The rnoniu ct;. i cl through these: surcharge;, are used for monitoring groundwater, ~roun:j-
water con'amination investigations and establishment of standards.
SBD-6398 (R.11/88)
` SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
PRIVATE SEWAGE PLAN APPROVAL Western Regional Office
2226 Rose Street.
LaCrosse, Wisconsin 54603
it
WEGERER SOIL TESTING & DESIGN
PO BOX 74
RIVER. FALLS WI 54022
RE: Plan Number: S93-40440 Date Approved: June 7, 1993
Gallons Per Day: 600 Date Received: May 26, 1993
Project. Name! LA PER.R.E, JAMES Location: SW,SE,21,28,19W
Town of TROY County: ST CROIX
The plumbing plans and specifications for this project have been reviewed for
compliance with applicable code requirements. This approval is based on Chapter
145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are
stamped 'conditionally approved'. This approval is contingent, upon compliance with
any stipulations shown on the plans. All items that are noted must be corrected.
All permits required by the city, village, township or county shall be obtained
prior to construction. The licensed plumber responsible for this installation
shall keep one set of plans with the department's approval stamp at the
construction site. The installer shall notify the appropriate inspector when
inspections can be made.
This approval will expire two years from the date approved or if a sanitary
permit is obtained, it will expire the day the initial sanitary permit expires.
The Section of Private Sewage has reviewed these plans for private sewage system code
requirements only. These plans have not been reviewed for the code requirements
set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the
Wisconsin Administrative code.
This approval is for the following components only:
- NEW MOUND
Inquiries concerning this approval may be made by calling (608) 785-9348.
Sincerely, 9 8
• ,9
4(G,'. D M. SWIM o~zc~~
Section of Private Sewage
Division of Safety and Buildings mn rho
r- PPP039/0009n,/55 a
~ ~•.Ja E,~,.
cc: Private Sewage Consultant.
Tr
SBDd6423 M. 01/91)
Page of 6
MOUND STEM
FOR ~ 4 lJr~ Act
A 14 BEDROOM RESIDENCE
LOCATED IN THE SW 1/4 OF THE StZ 1/4 OF SECTION Z-~ TZe N, R ~9 W,
TOWN OF T"(2l1`j , 5T- C-QAtX COUNTY, WISCONSIN.
-~~o~_ ~ = or-__~ SwJ --~~c.u1~D~o--I!~► you_c.--S or cs s ~ t~~~- ?3_ZZ-~
INDEX
PAGE l 'of 6 TITLE SHEET
PAGE 2 of 6 PLOT PLAN
PAGE 3 of 6 PLAN VIEW-CROSS SECTION.
PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT
PAGE 5 of 6 PUMPING CHAMBER
PAGE 6 of 6 PUMP PERFORMANCE CURVE
PREPARED FOR
N `a~ 31 _ _1.1731 sY _ST._
lv a it~~s w~ sLl bZZ
PREPARED BY
®x~~~6@@®@Als~a~,.V
WEGE[~E1F~ SO I L TEST I NG
AND a®~ •'g
DES = G4V SEES V ICE ® ARTHUR L.
WEGERER
~ • P9+5 ? w
P. 0. BOX 74 421 M. 1SAI11 5T. s ELLS`~SRTH,
RIVED. FALLS. VI 54422
715-4L,-41b5 • •••r 4
-SIky31%-
s - Z S-C7 3
93 _B$
JOB NO.
PLOT PLAN
Page Z- of 6
Scale 1"= 30'
L.Oc.t'ZCZ01v
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6r-6\3p m 1Jv ,o SST
y4pbC P 15'b~q. Tpu-t ~C a
Y''PVC -
1 r r CAV`N~~.
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B?~ - fit,. f m00:0~ o1J
'WE ftT USkST SO' Pi-tz '1 Mou~v~ ZSL ' O co 3
NOTES: VIM-lb NT LQVT Z S1 P1tu► 1 Tft1u1z S .
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install permanent markers at end of each lateral. required)
3. Install 4" observation pipes with approved caps. ( Z required)
4. Septic tank to be \2p0 gallon capacity manufactured by
~~R.4 1AJ T1a:k.S
5. Bench Mark S ~ti3d,1~ pL-kN
6. Divert surface water around mound to prevent ponding at the uphill side.
Page 3 Of 6
5t 34044o
Approved Synthetic Covering
Distribution Pipe
Medium Sand
H G
Topsoil F Elev qq.0
-J E D
3
.'y strtF b
% Slope
Ily
~C yl Bed Of %2•- 2 %2 Force Mbin Plowed
Aggregate From Pump Layer
D Ft.
'
, 110NS
LABOR & Hu~
a
pt:P[. OF 1~U5TRY AN ~ ILp=NGS E \.Z
Of SAFETY Ft.
avIsw
ross Section Of A Mound System Using Bed For The Absorption Area
F Ft.
SEE GO NOENCE G 1• b Ft.
A 8 Ft. H 1• S Ft.
Linear Loading Rate= 9• S GPD/LN FT B 61 Ft.
Design Loading Rate= 0.3 GPD/SQ FT I ZL4 Ft.
J a Ft.
K 10 Ft.
.Ite -e n _L_ L 63 Ft.
Fefte4r W 4O_ Ft.
L
j Observation Pipe
$ - K
I---------------------- r
A - - -
W o Force Main
2"- 2.
Distribution Bed Of
Pipe Aggregate
Observation Pipe Permanent Markers
(Anchor securely)
Plan View Of Mound Using A Bed For The Absorption Area
Page L1 Of (o
Perforated Pipe Detail
59340440
0
End View
)Perforated
End Cap. PVC Pipe Install permanent marker
at end of each lateral
rn
Holes Located On Bottom,
Are Equally Spaced
Q S
PVC Force Main
Q
PVC
Manifold Pipe
)IStrl ution
Pipe
Last Hole Should Be I
Next To End Cap
End Cap
P 30 Ft.
Distribution Pipe. Layout
S Ft.
X Y $ Inches SVIM PRIVATE SEWAl3E Y LI 8 Inches
COnditim7ally Hole Diameter '1y Inch
P ffitft 0 V ,a ar. Ae ii Lateral 11 11~y Inch(es)
Manifold Z- Inches
. OF IOUSTRWM "'MN RPAPON= Force Main " Z Inches
INGS # of holes/pipe 8
R
Invert Elevation of Laterals 94-S Ft.
,E
q
Place 1st hole Z~ from center of manifold with succeeding holes
at ~$y intervals. Last hole to be next to the end cap.
PUMP CHAMBER CROSS SECTION Ault) SPECIFICATIONS ' PAGE S OF
VEIJT CAP S0340440
4* C.I. VENT PIPE WEATHER PROOF
APPROVED LOCKING MANHOLE
JUAICTIOW SOX
10 'FROM ODOR COVER WITH WARNING LABEL
? . IZ•MILI.
WIUOOW OR FRESH ( -
AIR INTAKE I
GRADE
e1. q K. s* i 4 MILL
10' MIN.
CONDUIT--
S ,':STEM PROVIDE i ~Il
WLET p Y AIRTIGHT SEAL I I i I /
APPROVED JOINT A Tank cans„ ~ shall comply I I ( APPROVED JOINTS
with approved f w t~ 3.1nd ILHR 83.20 111
pipe extending ALARM
3 feet onto Pt. OF I4S, )USTRY, LABOR & HWI iAI RELATIONS ' I I I
I I
ID"x
solid soil. ! N OF SAF AP Is ILUI NGS I I ow
i
Both sides of ( i~~z Z- 0
tank. $3.30 I
LLEV. FT. WRP" 0E PUMP
OFF
D
8Z.~0 COUCRETE 5LOCK
3 * APPRWf
RISER EXIT PERMITTED OIJLy IF TAWK MANUFACTURER HAS SUCH APPROVAL. REDOING
SPECIFICATIONS
005E 1~EJ~1~y ItiJr z.S.
TANKS, MAt►IUFACTURER: IJUM6ER OF DOSES: -_-PER OAy
TAMK 51ZE : a C~ 0 6ALLOW S DOSE VOLUME
S.S . \1.QC~ SYSrL" I S II►ICLUDIN6 bACKFLOW: L` l10' `a GALLONS
ALARM MANUFACTURER:
MODEL HUMBER: ~~l l'Iw CAPACITIES: A=. _.WCHES OP. GALLONS
SWITCH TYPE: - MOLcua-Y B = Z INCHES OR 301' 3WLOLJS
PUMP MANUFACTURER: S C=~IWCHES OR 126'5 GALLONS
MODEL WUMDER: W l~ V S p: ~Z INCHES OR LIE-' GALLONS
SWITCH TYPE: NOTE: PUMP AND ALARM ARE TO OE
INSTALLED OW SEPARATE CIRCUITS
MINIMUM DISCHA-R6E RATE 3"1' `'L GPM
VERTICAL DIFFEILENCE BETWEEN PUMP OFF AUO.OISTRIBUTION PIPE.. 2-0 FEET
+ MIIJIMUM NETWORK SUPPLY PRESSURTTE//.... . 2.50 FEET
+ FEET OF FORCE MAIN X Z 33FY00fEFRICTIOU FACTOR. 113 FEET
TOTAL OyUAMIC. HEAD FEET
DIAMETER
ILITERIJAL OIMILWSIOLIf OF TA UK: LEW&TH ;WIDTH ;LIQUID DEPTH .~Z.z._..
BOTTOM AREA Lj S:1'7 231- 19 - .6 V GAL/INCH
AS PER MANUFACTURER GAL/INCH
"MflcGN 6 ot- 6
.y
WHV=5
1/2 HP Residential
and Commercial Sewage Pump
DIMENSIONS
41 v,6 sK
MECHANICAL FLOAT SWITCH
Mercury-free, 90' angle operation
5'h
O POWER, SWITCH CORDS -
Quick-connect, watertight
fittings 21/32 11/2
' ~--+F b G TETHER LENGTH
PIMP AND
MOTOR SHAFT ON
416 stainless steel
1/2-HP PSC MOTOR T
1750 rpm built-in
overload protection 18
UPPER SLEEVE, 2' NPT OFF
LOWER BALL BEARINGS t2h
Take radial loads,
absorb upthrust
r
57/8
ROTARY SHAFT SEAL 3:Y4 2' INLET
Carbon, ceramic faces 21/32
PERFORMANCE CURVE
1 CAPACITY LITERS PER MINUTE
0 100 200 300 400 500 600 700
14
i 44 13
40 12
36 11
TWO-VANE, tl 32 70 ru
SEMI-OPEN EMTELLER b e i
g o 28
`
Most efficient pumping 8 0
a
W W
= 24 _
7
CAST IRON VOLUTE Z.Zw 'f' ~.7
~ ~ 6
Passes 2" dia. solids ° o
16 5
12 4
3
8
2
4 1
0
20 40 60 80 100 120 140 .160 180
CAPACITY GALLONS PER IYNUM
3,.~t y
F. E. Myers, A Pentair Company
1101 Myers Parkway
M"rv Ashland Ohio 44805-1923
K3200 9/91 419/289-1144
Printed in U.SA FAX: 419/289-6658,`TLX: 98-7443
= SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
PRIVATE SEWAGE PLAN APPROVAL Western Regional Office
2226 Rose Street.
LaCrosse, Wisconsin 54603
WEGER.ER. SOIL TESTING & DESIGN
PO BOX 74
RIVER FALLS WI 54022
RE: Plan Number: S93-40440 Date Approved: June 7, 1993
Gallons Per Day: 600 Date Received: May 26, 1993
Project. Name: LA PER.R.E, JAMES Location: SW;SE;21;28,19W
Town of TROY County: ST CROI X
The plumbing plans and specifications for this project have been reviewed for
compliance with applicable code requirements. This approval is based on Chapter
145, Wisconsin Statute--, and the Wisconsin Administrat.i_ve Code, The plans are
stamped 'conditionally approved'. This approval is contingent upon Compliance with
any stipulations shown on the plans. All items t.ha.t. are noted must he corrected.
All permits required by the city; village, township or county shall be obtained
prior to construction. The licensed plumber responsible for this installation
shall keep one set. of plans with the department's approval stamp a.t the
construction site, The installer shall notify the appropriate inspector when
inspections can he made.
This approval will expire two years from the date approved or if a. sanitary
permit is obtained, it will expire the day the initial sanitary permit expires.
The Section of Private Sewage has reviewed these plans for private sewage system code
requirements only, These plans have not been reviewed for the cone requirements
set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the
Wisconsin Administrative code,
This approval is for the following components only:
- NEW MOUND
Inquiries concerning this approval may be made by calling (608) 785-9348.
Sincerely,
%
#(G,AD M, SWIM
Section of Private Sewage
Division of Safety and Buildings
PPP039/0009n/55
cc: Private Sewage Consultant.
SHn-6423 I R. O V91)
Page of 6
MOUND SYSTEM
5 v V
A q BEDROOM RESIDENCE
LOCATED IN THE Sw 1/4 OF THE Sk~ 1/4 OF SECTION -Ll TZe N, R 19 W,
.TOWN OF C TW I X COUNTY, WISCONSIN.
_ ~ os 01= c s tZ ~1 -A D__Ii VO:t~- B o~ cS r-J S' p"E Z3 -1z)
INDEX
PAGE 1'of 6 TITLE SHEET
PAGE 2 of 6 PLOT PLAN
PAGE 3 of 6 PLAN VIEW-CROSS SECTION
PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT
PAGE 5 of 6 PUMPING CHAMBER
PA GE 6 of 6 PUMP PERFORMANCE CURVE
PREPARED FOR
i
w ca% ~o3L_Sr_ S_T,
iZ.IU_ R -:F-A c.LS wi sUOZZ
PREPARED BY
WEGEEZEFZ SO I L TEST I NG eaTr®
AND w, s4
DES = GPI SSREI I CE o° ARTHUR L.
D.3!Sy o
P.O. BOX 74 421 K. KAIN ST. KLS:hcR7H,
w5.
1
RIVE? FkU. KI 54022 '
715-425-0165e~~~u1N;v ••.r Q
IG14
a~ees~
S - Z S-~ 3
I
q3 ' B a
JOB NO-
PLOT PLAN
Page Z- of
Scale 1"= 30'
• • ~.oc.r~oty
f S1~~Tct1
O _
DoT E• -~z8. 4.4"
(A itiollally
0-10 r y~N s934044o
C
Woft
N SOR R Ntl RS 0
~l10RSVO, a
A ~ to i~ -ft avlsa0 of s 0 9
E'.'
m tivoZ• w~"ta~cr J f~
Let~R
i
'p
TICS
Z
1
gal -
tS'~~ 5p1k.E ~8''ABUVE
GRp`lxlp Irv
.o S 9
94, ►5'Din. Tnet wuua
YHp~~ ~
z5"
i6p.Q~ ~ tTl.afBo ~
''9th tL 48 9
- -
L-oT LIVE -)ly. 9
tyo WALL ?p 8E ft'T X 51` So' F-tom VnouKYv ~T ~oS ~t~
NOTES: ftr CS~~vT Z s' Fiwm T z S
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install permanent markers at end of each lateral. required)
3. Install 4" observation pipes with approved caps. ( Z required)
4. Septic tank to be \jp(3 gallon capacity manufactured by
L ~?-4 wE)LrEc s
5. Bench Mark s3C1J~ pl,kN _
6. Divert surface water around mound to prevent ponding at the uphill side.
Page 3 Of 6
s934044o
Approved Synthetic Covering
Distribution Pipe
Medium Sand
Topsoil F Elev _ 99.0
~ I
3 E D
,F-1NAGE b
;.,,j% Slope
conditionally Bed Of 2 %M Force Mbin Plowed
2 2
Aggregate From Pump Layer
l e
~qS D 1.O Ft .
of IiiLrMSTRY, LABOR & K PdAN ~
plYlg)p OF SAFETY AN Lou" ross Section Of A Mound System Using F Z-Z Ft.
F Ft.
Bed For The Absorption Area
SEE CO fJf<NC~ G \.u Ft.
A 8 Ft. H S Ft.
Linear Loading Rate= 9•S GPD/LN FT B 61 Ft.
Design Loading Rate= 0.3 GPD/SQ FT I ?L4 Ft.
J 6 Ft.
K 10 Ft.
~ L 03 Ft.
FePee444.n-_ W 40- Ft.
L
Observation Pipe
8 K
III r-
A ( - - -
I -
W i
- Force Main
~Distribution Bed Of 2 - 2 2
Pipe Aggregate
Observation Pipe Permanent Markers
(Anchor securely)
Plan View Of Mound Using A Bed For The Absorption Area
Page L1 Of (o
Perforoted Pipe Detail
0
End View
)Perforoled
End Cop. PVC Pipe
one`` Install permanent-marker
-4e.at end of each lateral
Holes Located On Bottom,
Are Equally Spored
S
7
PVC Force Main
P
PVC
Manifold Pipe
Distri ution
PiQe
Last Hole Should Be I
Next To End Cap
End Cap
. P 3O Ft.
Distribution Pipe. Layout
S --14_ Ft.
PRIVATE X _8 Inches
BEyyAQE ~T1M
Y L18 Inches
Conn- ltional1y Hole Diameter '/Y Inch
AP Lateral I 'IV Inch(es)
PROVED Manifold Z- Inches
• Of O MMY, LABOR & HU RLRADON= Force Main " Z Inches
OF SRFEfY AND LOW(,g # of holes/pipe 8
BEE A Invert Elevation of laterals 44.S Ft.
NOENCE
It
Place lst hole Z4 from center of manifold with succeeding holes
y
at )4$ intervals. Last hole to be next to the end cap.
PUMP CHAMBER CRO55 SECTION AND SPECIFICATIONS ' PAGE S OF C~
VENT CAP :34 04 0
4'c.I. VENT PIPC WEATHER PROOF
APPROVED LOCKING MANHOLE
10 FROM JUNCTIOU BOX COVER WITH WARNING LABEL
~ oooR,
WINOOW OR FRESH Irma).
I -
AIR INTAKE I
GRADE I
k'1.4 Y. S ~ i 40 MIN.
10' MIIJ.
COWDUIT--
SYSTEM PROVIDE I
IMLET AIRTIGHT SEAL I I i I
dank-,,,c _n
APPROVED JOItJT A tan shall comply i I APPROVED JOINTS
} ~ahH nd ILHR 83.20
with approved ALARM
pipe extending ' I 1I
3 feet onto OF INDUSTRY, LABOR & HUM" RHATIONS ( I
solid s o i l . I N OF SAF AND IUtiNGS I I Oki
Both sides of
tank. 83.30 I
L. L E V. F T. C~RAFif~N CE PUMP __j
~ OFF
D
87-A O COLICRETE BLOCK
3' ApPRavCr
RISER EXIT PERMITTED OWLI IF TAWK MANUFACTURIR HAS SUCH APPROVAL. gEpplµ~
SPECIFICATIOMS
DOSE
L/ NUMBER OF DOSES: PER DAU
TANK MAIJUFACTUR w
CR.
TANK .+lZE. aCl~ 0 GALLOWS DOSE VOLUME
ALARM MANUFACTURER: S'S' SFUQS~M SY,3rL-a1 S INCLUDING, DACKFLOW: ti~bL: GALLONS
MODCL NUMBER. l01 ~~w CAPACITIES: A= 11 -IWCHE5 OR L Z' GALLOWS
SWITCH TUPIC: a2C1_u V_Y B = Z INCHES OR 3&( LLOL15
PUMP MANUFACTURER: ~e-i t2.5 G-_y~IWCHES OR l76'a GALLONS
MODEL NUMBER: W to V S D- 11 INCHES OR 2-2-1-2 GALLONS
SWITCH TYPE' Y-1 ~ZC~C1 { MOTE: PUMP AND ALARM ARE TO OE
MIMIMUM DISCHARGE RATE :S"- GPM INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFERENCE DETWEEW PUMP OFF AUD.DISTRIBUTIOW PIPE.. %6-10 FEET
+ MIKIIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . 2.50 FEET
♦ 1 6~ FEET OF FORCE MAIN X ~'33f~or>FRIt7lorl FACTOR. 1_3 FEET
TOTAL 09UAMIL HEAD FLET
DIAMETER 7 6
i/.
INTERAIAL DIMLWSIOIUi OF TANK: LENGTH _ ;WIDTH ;LIQUID DEPTH
BOTTOM AREA Lf S3`1 - 231= l q . b~ GAL/INCH
AS PER MANUFACTURER = GAL/INCH _
• I~~GN ~ ot= 6
r WHV5
1/2 HP Residential
and Commercial Sewage Pump
DIMENSIONS + NA MECHANICAL FLOAT SWITCH
Mercury-free, 90' angle operation
51/4
O POWER, SWITCH CORDS - +
Quick-connect, watertight
fittings 21/32 1 '12
5 b 6' TETHER LENGTH
PUMP AND
MOTOR SHAFT ON
416 stainless steel
1/2-HP PSC MOTOR r
1750 rpm built-in
overload protection 18
UPPER SLEEVE. 2' NPT OFF
LOWER BALL BEARINGS 12%
Take radial loads.
absorb upthrust
r
57/e
ROTARY SHAFT SEAL 3% = 2' WLET
Carbon, ceramic faces 21/32
1
PERFORMANCE CURVE
CAPACITY LITERS PER MUTE
o 100 20o 300 400 500 600 700
1
1a
~ 44 13
12
36 11 01
TWO-VANE 32 70
SEMI-OPEN IMPELLER = 9 z
Most efficient pumping 10 6 0
J 24 7 =
J
CAST IRON VOLUTE Z'Z'
2D -
Passes 2' dia. solids 6 0
16 5
12 4
3
6
2
1 1
0
20 40 60 60 100 120 110.160 160
CAPACITY GALLONS PER VAWM
3i-qy
F. E.
Ashland, A Pentair Company
1101 M"M Myers Parkway
Ashland, nd, Ohio 44805-1923
K3200 9/91 419/289-1144
O.:nlnA in IICA - [:AV-A10/non CCCO -TV.no 7A A7
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER_ Z cA,M 2.S ✓ Lc~ ~LI~{-~.~'
P t qSS/~ h ~q'
ADDRESS: FIRE NO: fi y
LOCATION: s(~ 1/4, ~_1/4, SEC.f T,N-R W,
TOWN OF: ST.•CROIX COUNTY X
SUBDIVISION: r~ wYi V C)rx k.S LOT NO. `
Improper use and maintenance of your septic system could result
in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or
sooner, if needed, by a licensed septic tank pumper. What you
put into the system can affect the function of the septic tank as
a treatment stage in the waste disposal system:
St. Croix County residents may be eligible to receive a grant to
help with the cost of the replacement of a failing system, which
was in operation prior to July 1, 1978. St Croix County accepted
this program in August of 1980, with the requirement that owners
of all new systems agree to keep their system properly
maintained.
The property owner agrees to submit to the St. Croix County
Zoning a certification form, signed by the owner and by a master
plumber, journeyman. plumber, restricted plumber or a licensed
pumper verifying that (1) the on-site wastewater disposal system
is in proper operating 'condition and (2) after inspection and
pumping (if necessary), the septic tank is less than 1/3 full of
sludge and scum. Certification from will be sent approximately
30 days prior to three year expiration.
I/WE, the undersigned have read the above requirements and agree
to maintain the private sewage disposal system-in accordance with
the standards set forth, herein, as set by the Wisconsin DNR.
Certification form must be completed and returned to the St.
Croix county Zoning Officer within 30 days of the three year
expiration date.
SIGNED:-
DATE:
J -7 3
i
St. Croix County Zoning Office
911 4th St.
Hudson, WI 54016
STC-loo
This application form is to be completed in full and signed b
the owner(s) of the property being developed. Any inadequacies
will only result in delays of the permit issuance. Shoulthis
development be intended for resale by owner/contractor,(spec
liouse), then a second form should be retained and completed when
the property is sold and submitted to this office with the
appropriate deed recording.
Owner of property ~I. Pr-yp
Location of property 5&A-/4 7t--1/4, section 'ZI , T N-R W
.Township 0
Mailing address A) 5'7'
Address of site L~~ CD~tlV~
'C 1D 14 1
_ ~iq Cc ( I 1
Subdivision name C61i"h C)p"k ;
Lot no
other homes on property?
___.yes, ~ No
Previous owner of property WZC-Al
M 14 Y ,UdRw" grcZcZJ'ZM
Total size of parcel
Date parcel was created J-)~_ k1 C>
l~
Are all corners and lot lines identifiable?_
Yes No
Is this property being developed for (spec house)? Yes No
7to
Volume1nd Page Number of Deeds . as recorded. with the Register
114CLUDE WITH THIS APPLICATION THE FOLLOWING: -
A WARIUVITY DEED which includes a DOCUMENT NUHBER, VOLUME AND PAGE
NUMBER & THE SEAL Or THE XIEGISTGR OF DEEDS. In addition, a
certified survey, if available; ;would be helpful so as to avoid
delays of the reviewing process. If the deed description
references to a certified Survey map, the certified Survey Map
shall also be required.
PROPERTY OWNER CERTIFICATION
I(wc) certify that all statements on this form are true to the
best of ny (our) knowledge that I we am (are) the owner() f
the property described in this information form, by virtue sofoa
warranty deed recorded tt~e office of the County Register of
Deeds as Document Teo.
own the proposed site for the sewage di p salt system)
orr I e(we)
obtained an easement, to run the above described property, for
the construction of said system, and the same has been duly
recorde,~
No.
,the office of county Register of deeds as Document
ignature of aplicant
Co-applicant
Date of Signa ure
Date of signature
I~
.I ,
II DOCUMENT NO. WARRANTY DEED I --HIS SPACE RESERVED FOR RECORDING DATA
" STATE BAR OF WISCONSIN FORM 2 -1982
- VOL 9J rP" r. 47 REGISTER'S OFFICE
Country Oaks- a Wisconsin Partnership by Laurence W. ST.CROIX CO., WI
- -
Murphy and Norwood- A Ecklund . Reed for Record
JUN 181992
conveys and warrants to James _ D.-- LaPerre_"and- Ann. . Marie.._LaPerre, Gt
-..husband.-and. wife. .as..survivorship_-marital-.property 8'40 A. M
Regater of Deeds
RETURN TO
. .
the following described real estate in S _*--Croix
____County, -
State of Wisconsin:
Tax Parcel No:..............................
Part of SE 1/4 of Section 21-28-19 described as follows: Lot 4 of Certified
Survey Map filed January 9, 1991 in Vol. "8", page 2312. TOGETHER WITH a 66
foot private roadway as shown on said Certified Survey Map.
Gt.C'~
This - - - --is not- homestead property.
-
(*A (is not)
Exception to warranties :
easements, restrictions and rights of way of record, if any.
Dated this day of - June 19..92
County Oaks:
-7.-(SEAL)
----------(SEAL)
ur nce W. Murphy
- ---------------------------(SEAL) )3_y A L)
orwood A. Ecklund
-
AUTHENTICATION ACKNOWLEDGMENT
Signature (s) STATE OF WISCONSIN
ss.
J
5(. -.-•"-County.
authenticated this --.-----day of 19 Personally came before me this ._._....ay of
June , 1992_.. the above named
s -----Laurence W. Murphy
TITLE: MEMBER STATE BAR OF WISCONSIN Norwood A. Ecklund
(If not , _ _ _ _
authorized by § 706.06, Wis. Stats.)
to me known to e`~t,M #1Asi... who executed the
b. 4t foregoing ins e a~a4*41tc~ Sdge a amp.
THIS INSTRUMENT WAS DRAFTED BY
at Law
Jose h D Boles Attorne...........................
River Falls, WI 54022
Notary Public
:a, County, Wis.
(Signatures may be authenticated or acknowledged. Both My Commissioi$~iJer not state expiration
are not necessary.) date: f_~ . u~~
wls-- ---,?_5~.,
"lif eN4461144 '
•Natnm of persons signing in any capacity should be typed or printed below their signatures.
WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc.
FORM No. 2 - 1982 _ Milwaukee, Wisconsin
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
taborend Human Relations
! Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
. COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must i e, but S~ C-1~ U I X
not limited to vertical and horizontal reference point (BM), direction and % of slop , Cale or ARCEL .D. #
- t 0 g4" d~ Su
dimensioned, north arrow, and location and distance to nearest road. 2 q
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATI ) R _ DATE
d
PROPERTY OWNER: 11.0 PROPERTY LOCA 10 1/4 S E 1/4, S 21 T Z-a , N,R 19 E (or OW-
PROPERTY 'Z ~►►-j F 5 Lpt p mtE
OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
N8531 1031 5T SI• 0,S" VoL$,~9 Z3\-L
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD
\-'1IUE •-tgl..l.SrW1 Sq(S2.t (7)IS) ai.s. C►ISb 7- R`{ I_TQWL3S\j% t Ro .
New Construction Use ~Q Residential / Number of bedrooms y ) Addition to existi building
j j Replacement [ ] Public or commercial describe
Code derived daily flow bow gpd Recommended design loading rate a • 3 bed, gpd/ft2 o • 3 trench, ft2
Absorption area required Soo bed, ft2 S p c trench, ft2 Maximum design loading rate 0--S bed, gpd/ft2 O. 6 trench, gpd/ft2
Recommended infiltration surface elevation(s) 9q. 0 ft (as referred to site plan benchmark)
Additional design / site considerations t'tov ),+Q w / 'a'>< (-3 ' 8NU - >-71,v . ) ' o r s r~wv I- t-L
Parent material \_z,, S s o v C- Tt ~_L Flood plain elevation, if applicable N). ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable for s stem ❑ S ER U [as ❑ U ❑ S ®U ❑ S ®U ❑ S ~U ❑ S FIffU
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmrtch
o-to ~o1-Lv- 3/3 - sal Z'~ sbk wt~>^ q,5 O.`
2ui o. S o. L
1 `1\Z 3) - S 1 I Z F S bk YIn `f h
10 t3 Z.
Ground 3 32_SOS`')tZ VJ%(
s
elev.
q~, b ft. 3 (S ka-IQ Lc Pj SS `UtZ wIT" rv #OeL.y PAr0_k M V T Ia/F L C? L
w\`~•tI 1VtR (4ty SOOpu Qnk'rS S►~ ~Z,1t'1~"D Ar L12',
Depth to
limiting
factor
3 z
Remarks:
Boring# O-vZ 1c)-m, 313 S)) Z~Sb~T_'F►~ cS 3o`S a. S o•~
Z ~ Z ~z-21 10 ~t IZ 31 b - s ~ ~ Z ~ s ~k t.r'f I` c s 2 oS o. 6
3 z-)-33 ~.S1-1 2 yly t~,.sti~sl~ cSblz
Ground
elev. Lq 33 _L47 -I_ 5 Y R y!y S I WN L- - - _
Ct~ ft.
Depth to C-Oh' " S ' z ' r t Q F M h S S J S c l GTU'*jP ,b t S " 3
limiting
factor
Remarks:
CSTName:-PleasePrint Arthur L. We erer Phone: 715-425-0165
Address: Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022
Signature: Date: CST Number:
~/3_c~ES ~r'Nl x,179 3 M00576
PROPERTY OWNER L ~L'1Z~2 C SOIL DESCRIPTION REPORT Page ofd
PARCEL I.D.# DL{O - 1085/- ~u- L S o
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
v4:»`l D- l? 1 by ~Z 3 3 s i t J b vi `F1~ cS 3 i o, S o, L
H W 316 - S Z , bk wr ` cs z o. S o . L
Ground 3 13-39 $ y 3L - s 1 s 1k `f c S o~\4 S
elev.
•I ft. y 39-49 -7-S sYR 5/8 S ~ ~ w~ w► T1-
Depth to S Ll 3
limiting
fag" I
Remarks:
Boring #
rf•6
Ground L~~U
elev.
ft.
10i I AY 2 1 9993
Depth to J.,v
limiting w
factor A~Xv
Remar
Boring #
~n
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
s PLOT PLAN Page 3 of 3
SCALE 1"= 30 '
L.o~r`ZC~I~I~i
v
>y\; P►Zrvn -;z t19"
W. 916
-r
y~ S
~o tvoT cu~arcr ry
oR ~tSl'URt~ 1-! j~~
`Tr11 S Pt'~~'q Sim
t M I V o
TTI- Fs Z Lo
cF
I ~
S p llt.~ ~8'R Bu~E
Geuv,~U tn, I s kFT Sl
I fur covlou~.
L _ ZS_
~t,gso c
5.7 Z
~L989
14. 9 9
No}~: ,-J cLL -M 8re ft`T uz ST Sp f-110m m UP nP B}J' - P-L. 100.0 , Oka
\'S kjt~ VN r ~r It ST S ' 'Fit u 'M iw\- S Z P LOT Cowie t.
93 q3
0 576
(715 ~ 423-0165 M00576
CST Signature Date Signed Telephone No. CST #
Parcel 040-1083-80-000 04/19/2005 11:50 AM
PAGE 1 OF 1
Alt. Parcel 21.28.19.328C 040 - TOWN OF TROY
Current X' ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): * = Current Owner
* DUCLOS, GARY A & MARLENE C
GARY A & MARLENE C DUCLOS
237 TOWNSVALLEY RD
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 1.500 Plat: N/A-NOT AVAILABLE
SEC 21 T28N R1 9W PT NE SW THAT PART OF Block/Condo Bldg:
NE SW KNOW AS PART OF LOT 4 OF CSM V
4/1157 INCLUDES P332C, P333A, P334A & Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
P335 21-28N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1213/131 WD
07/23/1997 766/151
2004 SUMMARY Bill Fair Market Value: Assessed with:
26789 Use Value Assessment
Valuations: Last Changed: 07/20/2004
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 30.320 4,700 0 4,700 NO
Totals for 2004:
General Property 30.320 4,700 0 4,700
Woodland 0.000 0 0
Totals for 2003:
General Property 30.320 5,000 0 5,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 040-1084-40-000 04/19/2005 11:49 AM
PAGE 1 OF 1
Alt. Parcel 21.28.19.332C 040 - TOWN OF TROY
Current [XI ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): * = Current Owner
DUCLOS, GARY A & MARLENE C
GARY A & MARLENE C DUCLOS
237 TOWNSVALLEY RD
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE
SEC 21 T28N R1 9W PT NE SE THAT PART OF Block/Condo Bldg:
NE SE ALSO KNOWN AS PART OF LOT 4 OF CSM
V 4/1157 ASSESS WITH P328C Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
21-28N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1213/131 WD
07/23/1997 766/151
2004 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed:
Description Class Acres Land Improve Total State Reason
Totals for 2004:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2003:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00